Evidence map›Paper›PMID 31378138›Full record

ArticleGlobal public health2020

Supernatural explanatory models of health and illness and healthcare use in China among men who have sex with men.

Stephen W Pan, Richard M Carpiano, M Kumi Smith, Jason J Ong, Hongyun Fu, Wenting Huang, Weiming Tang, Joseph D Tucker

Open access · greenAbstract read
In one paragraph

Article in Global public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 4 countries.

Stephen W PanDepartment of Health and Environmental Sciences, Xi'an Jiaotong-Liverpool University, Suzhou, People's Republic of China.
Richard M CarpianoSchool of Public Policy, University of California, Riverside, CA, USA.
M Kumi SmithUNC-Project China, Guangzhou, People's Republic of China.
Jason J OngUNC-Project China, Guangzhou, People's Republic of China.
Hongyun FuEastern Virginia Medical School, Norfolk, VA, USA.
Wenting HuangUNC-Project China, Guangzhou, People's Republic of China.
Weiming TangUNC-Project China, Guangzhou, People's Republic of China.
Joseph D TuckerUNC-Project China, Guangzhou, People's Republic of China.
Eastern Virginia Medical School · USEmory University · USMonash University · AUSouthern Medical University · CNUniversity of California, Riverside · USUniversity of Minnesota · USUniversity of North Carolina at Chapel Hill · USXi’an Jiaotong-Liverpool University · CN

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
UJMT – ORWH – Gazzetta, Issa-BoubeD43TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI William Checkley, Benjamin H. Chi · 2017 to 2026
$14.8M
Fogarty Global Health Fellows Coordinating CenterR25TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHI, BENJAMIN H. · 2012 to 2016
$6.9M
Spurring Innovation in HIV Testing and Linkage: A Crowdsourcing Approach -Diversity SupplementR01AI114310 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TUCKER, JOSEPH DAVID, WEI, CHONGYI · 2014 to 2018
$3.3M
Mentoring Multidisciplinary Global HIV Patient-Oriented ResearchK24AI143471 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph David Tucker · 2019 to 2026
$1.4M
UNC-South China STD Research Training CenterD43TW009532 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COHEN, MYRON SCOTT, TUCKER, JOSEPH DAVID · 2013 to 2017
$1.3M
Enhancing Partner Services among Men Who Have Sex with Men Living With HIV: A Pilot Randomized Controlled TrialR34MH119963 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TANG, WEIMING, TUCKER, JOSEPH DAVID · 2019 to 2021
$568k
FIC NIH HHS D43 TW009340FIC NIH HHS D43 TW009532FIC NIH HHS R25 TW009340NIAID NIH HHS K24 AI143471NIAID NIH HHS P30 AI050410NIAID NIH HHS R01 AI114310NIMH NIH HHS R34 MH119963
6 · The paper itself

Abstract

People's beliefs in supernatural explanatory models of health and illness - beliefs in divine and/or supernatural forces to inform how they perceive, interpret, and respond to health and illness - may have important implications for their use of healthcare services, especially among individuals with lower socioeconomic status (SES). However, the relevance of such research for contexts with strong Confucian and Buddhist traditions and sexual minority subpopulations remains unclear. We conducted a nation-wide survey in China of 503 men who have sex with men (MSM) to test hypotheses examining how supernatural beliefs impact commitment to a primary healthcare provider and testing history for HIV and syphilis. We also tested hypotheses regarding how SES may moderate such effects. Results indicate that strength of supernatural beliefs is associated with less commitment to a primary care provider and lower likelihood of HIV testing, particularly among men with lower educational attainment. However, among men with low income, supernatural belief was associated with higher likelihood of testing for HIV and syphilis. Belief in supernatural explanatory models of health and illness may have substantial influence on healthcare use among MSM in China. As religion and spirituality evolves within China, additional research concerning supernatural beliefs and healthcare use is warranted.

Indexed as

Homosexuality, MaleReligionSexual and Gender MinoritiesAdolescentAdultChinaCross-Sectional StudiesHIV InfectionsHumansMalePatient Acceptance of Health CarePhysicians, Primary CareSexual BehaviorSocioeconomic FactorsSpiritualitySurveys and Questionnairesfatalismfundamental cause theorygay menReligionspirituality

Identifiers

PMID31378138
PMCPMC6934899
OpenAlexW2964626529

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.